90415

Table 6.1A – Serious Psychological Distress in the Past Month among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2008

Age Category	Total	Male	Female
*Low precision; no estimate reported. NOTE: Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	10,158	4,252	5,906
18	400	156	244
19	388	141	247
20	330	138	192
21	302	126	176
22	276	112	163
23	298	115	183
24	250	100	149
25	239	113	126
26-29	970	386	584
30-34	883	334	549
35-39	1,216	522	694
40-44	1,025	420	605
45-49	946	442	504
50-54	784	259	525
55-59	482	221	260
60-64	366	198	168
65 or Older	1,005	469	535

90415

Table 6.1B – Serious Psychological Distress in the Past Month among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2008

Age Category	Total	Male	Female
*Low precision; no estimate reported. NOTE: Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	4.5	3.9	5.1
18	8.2	6.2	10.2
19	8.9	6.1	12.0
20	8.3	6.9	9.8
21	7.6	6.3	8.8
22	6.8	5.6	8.0
23	7.3	5.7	8.9
24	6.5	5.3	7.7
25	6.3	6.1	6.5
26-29	5.7	4.4	7.0
30-34	4.8	3.7	5.7
35-39	6.0	5.3	6.6
40-44	4.8	4.0	5.5
45-49	4.2	3.9	4.5
50-54	3.6	2.5	4.5
55-59	2.7	2.5	2.9
60-64	2.4	2.7	2.1
65 or Older	2.7	2.9	2.5

90415

Table 6.2A – Serious Psychological Distress in the Past Month among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2008

Demographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	10,158	2,483	5,039	2,636
GENDER
Male	4,252	1,001	2,103	1,147
Female	5,906	1,482	2,935	1,489
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8,660	2,059	4,337	2,264
White	6,718	1,527	3,329	1,862
Black or African American	1,360	355	806	199
American Indian or Alaska Native	43	17	14	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	291	100	100	*
Two or More Races	199	49	54	*
Hispanic or Latino	1,498	424	702	372
EDUCATION
< High School	2,893	691	1,124	1,078
High School Graduate	3,200	827	1,606	768
Some College	2,746	759	1,517	470
College Graduate	1,318	206	792	320
CURRENT EMPLOYMENT
Full-Time	4,036	951	2,548	537
Part-Time	1,328	587	558	183
Unemployed	918	373	483	62
Other1	3,876	571	1,450	1,855

90415

Table 6.2B – Serious Psychological Distress in the Past Month among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2008

Demographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	4.5	7.5	5.0	2.9
GENDER
Male	3.9	6.0	4.3	2.7
Female	5.1	9.1	5.8	3.0
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.5	7.6	5.2	2.7
White	4.3	7.5	5.2	2.6
Black or African American	5.3	7.6	6.6	2.3
American Indian or Alaska Native	4.5	10.1	3.5	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	3.0	6.7	1.9	*
Two or More Races	7.9	12.0	6.2	*
Hispanic or Latino	4.9	7.3	4.2	4.9
EDUCATION
< High School	8.3	11.7	8.5	6.8
High School Graduate	4.6	7.1	5.7	2.5
Some College	4.8	7.0	5.8	2.3
College Graduate	2.1	4.5	2.5	1.2
CURRENT EMPLOYMENT
Full-Time	3.3	6.3	3.6	1.5
Part-Time	4.4	6.9	5.3	1.6
Unemployed	10.2	12.2	11.2	3.9
Other1	6.1	9.0	10.7	4.3

90415

Table 6.3A – Types of Illicit Drug Use in the Past Month among Persons Aged 18 or Older, by Past Month Serious Psychological Distress: Numbers in Thousands, 2008

Drug	Total	Serious Psychological Distress1	No Serious Psychological Distress1
*Low precision; no estimate reported. 1 Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in prior NSDUH reports. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS2	17,773	1,996	15,777
Marijuana and Hashish	13,546	1,412	12,134
Cocaine	1,757	347	1,411
Crack	352	109	243
Heroin	199	65	134
Hallucinogens	818	141	677
LSD	104	11	93
PCP	*	1	*
Ecstasy	450	69	381
Inhalants	372	56	316
Nonmedical Use of Psychotherapeutics3,4	5,514	889	4,625
Pain Relievers	4,180	643	3,537
OxyContin®	386	69	316
Tranquilizers	1,650	390	1,260
Stimulants4	791	167	624
Methamphetamine4	285	55	229
Sedatives	199	59	140
ILLICIT DRUGS OTHER THAN MARIJUANA2	7,474	1,253	6,221

90415

Table 6.3B – Types of Illicit Drug Use in the Past Month among Persons Aged 18 or Older, by Past Month Serious Psychological Distress: Percentages, 2008

Drug	Total	Serious Psychological Distress1	No Serious Psychological Distress1
*Low precision; no estimate reported. 1 Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in prior NSDUH reports. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS2	7.9	19.6	7.3
Marijuana and Hashish	6.0	13.9	5.6
Cocaine	0.8	3.4	0.7
Crack	0.2	1.1	0.1
Heroin	0.1	0.6	0.1
Hallucinogens	0.4	1.4	0.3
LSD	0.0	0.1	0.0
PCP	*	0.0	*
Ecstasy	0.2	0.7	0.2
Inhalants	0.2	0.6	0.1
Nonmedical Use of Psychotherapeutics3,4	2.5	8.8	2.2
Pain Relievers	1.9	6.3	1.6
OxyContin®	0.2	0.7	0.1
Tranquilizers	0.7	3.8	0.6
Stimulants4	0.4	1.6	0.3
Methamphetamine4	0.1	0.5	0.1
Sedatives	0.1	0.6	0.1
ILLICIT DRUGS OTHER THAN MARIJUANA2	3.3	12.3	2.9

90415

Table 6.4A – Tobacco Product and Alcohol Use in the Past Month among Persons Aged 18 or Older, by Past Month Serious Psychological Distress: Numbers in Thousands, 2008

Substance	Total	Serious Psychological Distress1	No Serious Psychological Distress1
*Low precision; no estimate reported. 1 Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 2 Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. 3 Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOBACCO PRODUCTS2	68,024	5,184	62,840
Cigarettes	57,520	4,837	52,683
Smokeless Tobacco	8,123	379	7,744
Cigars	12,183	942	11,241
Pipe Tobacco	1,700	215	1,485
ALCOHOL	125,339	5,158	120,181
Binge Alcohol Use3	55,907	3,134	52,773
Heavy Alcohol Use3	16,801	1,228	15,573

90415

Table 6.4B – Tobacco Product and Alcohol Use in the Past Month among Persons Aged 18 or Older, by Past Month Serious Psychological Distress: Percentages, 2008

Substance	Total	Serious Psychological Distress1	No Serious Psychological Distress1
*Low precision; no estimate reported. 1 Serious Psychological Distress (SPD) is defined as having a score of 13 or higher on the K6 scale. Note that this table shows estimates of past month SPD, while prior NSDUH tables and reports have shown estimates of past year SPD. See Section B.4.5 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 2 Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. 3 Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOBACCO PRODUCTS2	30.2	51.0	29.3
Cigarettes	25.6	47.6	24.5
Smokeless Tobacco	3.6	3.7	3.6
Cigars	5.4	9.3	5.2
Pipe Tobacco	0.8	2.1	0.7
ALCOHOL	55.7	50.8	56.0
Binge Alcohol Use3	24.9	30.9	24.6
Heavy Alcohol Use3	7.5	12.1	7.3

90429

Table 6.5A – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Numbers in Thousands, 2008

Age Category	Total	Male	Female
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	9,825	3,274	6,551
18	325	119	206
19	327	104	223
20	333	120	213
21	290	91	200
22	309	106	203
23	312	105	207
24	273	97	177
25	268	87	182
26-29	1,065	328	737
30-34	994	314	680
35-39	1,166	407	759
40-44	948	358	590
45-49	1,060	417	643
50-54	859	179	680
55-59	524	123	401
60-64	347	133	213
65 or Older	426	188	238

90429

Table 6.5B – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Gender and Detailed Age Category: Percentages, 2008

Age Category	Total	Male	Female
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	4.4	3.0	5.6
18	6.6	4.7	8.6
19	7.5	4.5	10.8
20	8.4	6.0	10.9
21	7.3	4.6	10.0
22	7.7	5.3	10.0
23	7.6	5.2	10.1
24	7.1	5.1	9.1
25	7.1	4.7	9.4
26-29	6.2	3.7	8.9
30-34	5.4	3.5	7.1
35-39	5.8	4.2	7.3
40-44	4.4	3.4	5.4
45-49	4.7	3.7	5.7
50-54	3.9	1.7	5.9
55-59	2.9	1.4	4.5
60-64	2.3	1.8	2.7
65 or Older	1.1	1.2	1.1

90429

Table 6.6A – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Numbers in Thousands, 2008

Demographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	9,825	2,437	5,233	2,155
GENDER
Male	3,274	828	1,824	623
Female	6,551	1,609	3,410	1,532
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	8,605	2,030	4,595	1,981
White	7,195	1,598	3,795	1,802
Black or African American	891	280	543	68
American Indian or Alaska Native	39	8	26	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	288	84	119	*
Two or More Races	141	50	71	20
Hispanic or Latino	1,220	407	639	175
EDUCATION
< High School	1,731	532	809	390
High School Graduate	3,072	785	1,602	684
Some College	3,145	855	1,707	584
College Graduate	1,878	265	1,115	498
CURRENT EMPLOYMENT
Full-Time	4,305	1,030	2,760	515
Part-Time	1,444	618	662	164
Unemployed	722	299	290	133
Other1	3,355	490	1,521	1,343

90429

Table 6.6B – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Demographic Characteristics: Percentages, 2008

Demographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	4.4	7.4	5.2	2.3
GENDER
Male	3.0	5.0	3.7	1.5
Female	5.6	9.8	6.8	3.1
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	4.4	7.5	5.5	2.3
White	4.7	7.9	6.0	2.5
Black or African American	3.5	6.0	4.4	0.8
American Indian or Alaska Native	4.2	4.5	6.5	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	2.9	5.6	2.2	*
Two or More Races	5.6	12.3	8.2	1.6
Hispanic or Latino	4.0	7.0	3.8	2.3
EDUCATION
< High School	4.9	9.0	6.1	2.5
High School Graduate	4.4	6.8	5.7	2.3
Some College	5.5	7.9	6.5	2.9
College Graduate	3.0	5.8	3.5	1.9
CURRENT EMPLOYMENT
Full-Time	3.5	6.9	3.9	1.4
Part-Time	4.8	7.2	6.3	1.5
Unemployed	8.0	9.8	6.7	8.4
Other1	5.3	7.7	11.2	3.1

120411

Table 6.7A (REVISED) – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Geographic Characteristics: Numbers in Thousands, 2008

Geographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	9,886	2,477	5,257	2,152
GEOGRAPHIC REGION
Northeast	1,821	448	893	480
New England	418	106	192	120
Middle Atlantic	1,403	342	700	360
Midwest	2,403	559	1,334	511
East North Central	1,751	393	968	390
West North Central	652	165	366	121
South	3,335	836	1,855	643
South Atlantic	1,614	398	903	312
East South Central	531	133	320	78
West South Central	1,191	305	632	253
West	2,326	634	1,175	517
Mountain	777	188	408	180
Pacific	1,549	446	767	337
COUNTY TYPE
Large Metro	5,114	1,358	2,700	1,056
Small Metro	3,071	756	1,680	635
250K - 1 Mil. Pop.	2,035	505	1,105	424
< 250K Pop.	1,036	251	575	211
Nonmetro	1,701	363	877	461
Urbanized	761	152	349	259
Less Urbanized	838	185	467	186
Completely Rural	103	25	62	16

120411

Table 6.7B (REVISED) – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Age Group and Geographic Characteristics: Percentages, 2008

Geographic Characteristic	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	4.4	7.5	5.3	2.3
GEOGRAPHIC REGION
Northeast	4.4	7.5	4.9	2.7
New England	3.8	6.8	4.1	2.6
Middle Atlantic	4.6	7.7	5.3	2.8
Midwest	4.9	7.7	6.2	2.5
East North Central	5.1	7.8	6.4	2.7
West North Central	4.4	7.4	5.7	1.9
South	4.1	7.1	5.1	1.9
South Atlantic	3.7	6.7	4.7	1.7
East South Central	4.0	7.1	5.5	1.4
West South Central	4.7	7.8	5.5	2.6
West	4.5	8.0	5.0	2.6
Mountain	4.9	8.0	5.7	2.9
Pacific	4.3	8.0	4.6	2.4
COUNTY TYPE
Large Metro	4.3	7.6	4.8	2.3
Small Metro	4.5	7.5	5.8	2.2
250K - 1 Mil. Pop.	4.5	7.7	5.8	2.2
< 250K Pop.	4.5	7.1	5.9	2.2
Nonmetro	4.6	7.3	5.9	2.7
Urbanized	4.9	6.7	5.7	3.7
Less Urbanized	4.6	7.9	6.3	2.2
Completely Rural	2.8	7.1	4.2	0.9

90429

Table 6.8A – Types of Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2008

Drug	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS2	30,799	2,979	27,814
Marijuana and Hashish	22,531	2,083	20,441
Cocaine	4,950	687	4,262
Crack	1,075	209	867
Heroin	411	97	314
Hallucinogens	2,988	421	2,567
LSD	619	84	534
PCP	38	4	34
Ecstasy	1,786	283	1,503
Inhalants	1,069	135	934
Nonmedical Use of Psychotherapeutics3,4	13,253	1,753	11,499
Pain Relievers	10,277	1,370	8,907
OxyContin®	1,235	220	1,015
Tranquilizers	4,621	811	3,810
Stimulants4	2,265	428	1,837
Methamphetamine4	756	170	587
Sedatives	509	123	386
ILLICIT DRUGS OTHER THAN MARIJUANA2	17,140	2,129	15,010

90429

Table 6.8B – Types of Illicit Drug Use in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2008

Drug	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. The estimates for Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine incorporated in these summary estimates do not include data from the methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 3 Nonmedical use of prescription-type psychotherapeutics includes the nonmedical use of pain relievers, tranquilizers, stimulants, or sedatives and does not include over-the-counter drugs. 4 Estimates of Nonmedical Use of Psychotherapeutics, Stimulants, and Methamphetamine in the designated rows include data from methamphetamine items added in 2005 and 2006 and are not comparable with estimates presented in NSDUH reports prior to the 2007 National Findings report. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS2	13.7	30.3	12.9
Marijuana and Hashish	10.0	21.2	9.5
Cocaine	2.2	7.0	2.0
Crack	0.5	2.1	0.4
Heroin	0.2	1.0	0.1
Hallucinogens	1.3	4.3	1.2
LSD	0.3	0.9	0.2
PCP	0.0	0.0	0.0
Ecstasy	0.8	2.9	0.7
Inhalants	0.5	1.4	0.4
Nonmedical Use of Psychotherapeutics3,4	5.9	17.8	5.3
Pain Relievers	4.6	13.9	4.1
OxyContin®	0.5	2.2	0.5
Tranquilizers	2.1	8.2	1.8
Stimulants4	1.0	4.4	0.9
Methamphetamine4	0.3	1.7	0.3
Sedatives	0.2	1.2	0.2
ILLICIT DRUGS OTHER THAN MARIJUANA2	7.6	21.7	7.0

90429

Table 6.9A – Tobacco Product and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2008

Substance	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Tobacco Product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. 3 Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
PAST YEAR
Tobacco Products2	79,669	5,434	74,222
Cigarettes	66,269	4,961	61,295
Smokeless Tobacco	10,559	510	10,049
Cigars	23,990	1,495	22,495
Alcohol	157,403	7,056	150,300
PAST MONTH
Tobacco Products2	68,024	4,819	63,193
Cigarettes	57,520	4,493	53,015
Smokeless Tobacco	8,123	325	7,798
Cigars	12,183	767	11,415
Pipe Tobacco	1,700	165	1,535
Alcohol	125,339	5,266	120,029
Binge Alcohol Use3	55,907	2,886	53,004
Heavy Alcohol Use3	16,801	1,137	15,648

90429

Table 6.9B – Tobacco Product and Alcohol Use in the Past Year and Past Month among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2008

Substance	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Tobacco Product use in the past year excludes past year pipe tobacco use, but includes past month pipe tobacco use. 3 Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. Heavy Alcohol Use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also binge alcohol users. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
PAST YEAR
Tobacco Products2	35.4	55.3	34.5
Cigarettes	29.5	50.5	28.5
Smokeless Tobacco	4.7	5.2	4.7
Cigars	10.7	15.2	10.5
Alcohol	70.0	71.8	69.9
PAST MONTH
Tobacco Products2	30.2	49.1	29.4
Cigarettes	25.6	45.7	24.7
Smokeless Tobacco	3.6	3.3	3.6
Cigars	5.4	7.8	5.3
Pipe Tobacco	0.8	1.7	0.7
Alcohol	55.7	53.6	55.8
Binge Alcohol Use3	24.9	29.4	24.6
Heavy Alcohol Use3	7.5	11.6	7.3

90429

Table 6.10A – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Substance Dependence or Abuse: Numbers in Thousands, 2008

Substance	Total	Dependence	No Dependence	Dependence or Abuse	No Dependence or Abuse
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 1 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS1	9,825	950	8,875	1,167	8,659
Marijuana	9,825	406	9,419	588	9,237
ILLICIT DRUGS OTHER THAN MARIJUANA1	9,825	667	9,158	779	9,046
ALCOHOL	9,825	1,304	8,521	1,905	7,920
BOTH ILLICIT DRUGS AND ALCOHOL1	9,825	349	9,476	595	9,230
ILLICIT DRUGS OR ALCOHOL1	9,825	1,905	7,920	2,477	7,349

90429

Table 6.10B – Serious Mental Illness in the Past Year among Persons Aged 18 or Older, by Past Year Substance Dependence or Abuse: Percentages, 2008

Substance	Total	Dependence	No Dependence	Dependence or Abuse	No Dependence or Abuse
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 1 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
ILLICIT DRUGS1	4.4	22.5	4.0	20.0	4.0
Marijuana	4.4	18.2	4.2	17.5	4.2
ILLICIT DRUGS OTHER THAN MARIJUANA1	4.4	28.9	4.1	24.6	4.1
ALCOHOL	4.4	15.7	3.9	11.1	3.8
BOTH ILLICIT DRUGS AND ALCOHOL1	4.4	29.7	4.2	22.7	4.2
ILLICIT DRUGS OR ALCOHOL1	4.4	16.8	3.7	12.2	3.6

90429

Table 6.11A – Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Numbers in Thousands, 2008

Dependence/Abuse	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 3 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
DEPENDENCE OR ABUSE2
Illicit Drugs3	5,841	1,167	4,674
Marijuana	3,359	588	2,771
Illicit Drugs Other Than Marijuana3	3,168	779	2,388
Alcohol	17,119	1,905	15,214
Both Illicit Drugs and Alcohol3	2,626	595	2,031
Illicit Drugs or Alcohol3	20,334	2,477	17,856
DEPENDENCE2
Illicit Drugs3	4,227	950	3,276
Marijuana	2,232	406	1,826
Illicit Drugs Other Than Marijuana3	2,308	667	1,641
Alcohol	8,286	1,304	6,981
Both Illicit Drugs and Alcohol3	1,177	349	828
Illicit Drugs or Alcohol3	11,336	1,905	9,430

90429

Table 6.11B – Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness: Percentages, 2008

Dependence/Abuse	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 3 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates are based on data from the original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
DEPENDENCE OR ABUSE2
Illicit Drugs3	2.6	11.9	2.2
Marijuana	1.5	6.0	1.3
Illicit Drugs Other Than Marijuana3	1.4	7.9	1.1
Alcohol	7.6	19.4	7.1
Both Illicit Drugs and Alcohol3	1.2	6.1	0.9
Illicit Drugs or Alcohol3	9.0	25.2	8.3
DEPENDENCE2
Illicit Drugs3	1.9	9.7	1.5
Marijuana	1.0	4.1	0.8
Illicit Drugs Other Than Marijuana3	1.0	6.8	0.8
Alcohol	3.7	13.3	3.2
Both Illicit Drugs and Alcohol3	0.5	3.6	0.4
Illicit Drugs or Alcohol3	5.0	19.4	4.4

90429

Table 6.12A – Illicit Drug Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Numbers in Thousands, 2008

Gender/Age	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	5,841	1,167	4,674
18-25	2,563	527	2,035
26-49	2,927	574	2,352
50 or Older	351	65	286
MALE	3,550	465	3,085
18-25	1,505	216	1,289
26-49	1,836	217	1,619
50 or Older	208	*	176
FEMALE	2,291	702	1,589
18-25	1,058	312	746
26-49	1,090	357	733
50 or Older	143	33	110

90429

Table 6.12B – Illicit Drug Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Percentages, 2008

Gender/Age	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	2.6	11.9	2.2
18-25	7.8	21.6	6.7
26-49	2.9	11.0	2.5
50 or Older	0.4	3.0	0.3
MALE	3.3	14.2	2.9
18-25	9.1	26.1	8.2
26-49	3.7	11.9	3.4
50 or Older	0.5	*	0.4
FEMALE	2.0	10.7	1.4
18-25	6.5	19.4	5.1
26-49	2.2	10.5	1.6
50 or Older	0.3	2.1	0.2

90429

Table 6.13A – Alcohol Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Numbers in Thousands, 2008

Gender/Age	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	17,119	1,905	15,214
18-25	5,670	789	4,881
26-49	8,726	965	7,761
50 or Older	2,723	151	2,572
MALE	11,173	922	10,250
18-25	3,444	344	3,100
26-49	5,866	490	5,376
50 or Older	1,863	*	1,775
FEMALE	5,947	983	4,963
18-25	2,226	445	1,781
26-49	2,860	475	2,385
50 or Older	860	63	797

90429

Table 6.13B – Alcohol Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness, Gender, and Age Group: Percentages, 2008

Gender/Age	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	7.6	19.4	7.1
18-25	17.2	32.4	16.0
26-49	8.7	18.4	8.2
50 or Older	3.0	7.0	2.9
MALE	10.3	28.2	9.7
18-25	20.8	41.5	19.7
26-49	11.9	26.9	11.3
50 or Older	4.4	*	4.2
FEMALE	5.1	15.0	4.5
18-25	13.6	27.6	12.1
26-49	5.7	13.9	5.1
50 or Older	1.7	4.1	1.7

90429

Table 6.14A – Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Numbers in Thousands, 2008

Demographic Characteristic	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	30,002	5,741	24,260
AGE
18-25	3,547	979	2,567
26-49	13,937	3,249	10,688
50 or Older	12,518	1,512	11,005
GENDER
Male	10,053	1,728	8,325
Female	19,949	4,013	15,936
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27,951	5,260	22,690
White	24,637	4,624	20,013
Black or African American	2,230	398	1,832
American Indian or Alaska Native	124	*	94
Native Hawaiian or Other Pacific Islander	*	*	21
Asian	442	*	345
Two or More Races	464	*	386
Hispanic or Latino	2,051	481	1,570
EDUCATION
< High School	3,927	779	3,148
High School Graduate	8,613	1,777	6,836
Some College	8,098	1,844	6,254
College Graduate	9,363	1,341	8,022
CURRENT EMPLOYMENT
Full-Time	13,152	2,198	10,955
Part-Time	4,648	845	3,803
Unemployed	1,266	368	897
Other2	10,936	2,330	8,605

90429

Table 6.14B – Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Demographic Characteristics: Percentages, 2008

Demographic Characteristic	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. 2 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	13.4	58.7	11.3
AGE
18-25	10.8	40.4	8.5
26-49	14.0	62.2	11.3
50 or Older	13.6	70.9	12.3
GENDER
Male	9.3	52.9	7.9
Female	17.2	61.6	14.5
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.4	61.4	12.2
White	16.0	64.6	13.6
Black or African American	8.7	44.8	7.4
American Indian or Alaska Native	13.2	*	10.5
Native Hawaiian or Other Pacific Islander	*	*	2.7
Asian	4.5	*	3.6
Two or More Races	18.8	*	16.5
Hispanic or Latino	6.8	39.4	5.4
EDUCATION
< High School	11.3	45.2	9.5
High School Graduate	12.3	57.9	10.2
Some College	14.2	58.9	11.6
College Graduate	15.0	72.1	13.3
CURRENT EMPLOYMENT
Full-Time	10.8	51.1	9.3
Part-Time	15.4	59.0	13.3
Unemployed	14.1	51.0	10.9
Other2	17.3	70.0	14.4

120411

Table 6.15A (REVISED) – Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Geographic Characteristics: Numbers in Thousands, 2008

Geographic Characteristic	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	30,201	5,775	24,425
GEOGRAPHIC REGION
Northeast	5,749	1,142	4,606
New England	1,793	280	1,513
Middle Atlantic	3,956	862	3,093
Midwest	7,046	1,364	5,681
East North Central	4,858	980	3,878
West North Central	2,188	384	1,804
South	10,285	1,928	8,357
South Atlantic	5,811	993	4,818
East South Central	1,557	*	1,274
West South Central	2,917	653	2,265
West	7,121	1,340	5,780
Mountain	2,378	455	1,922
Pacific	4,743	885	3,858
COUNTY TYPE
Large Metro	15,290	2,905	12,385
Small Metro	9,672	1,872	7,800
250K - 1 Mil. Pop.	6,412	1,337	5,076
< 250K Pop.	3,260	535	2,724
Nonmetro	5,239	998	4,240
Urbanized	2,381	470	1,911
Less Urbanized	2,460	475	1,986
Completely Rural	397	*	344

120411

Table 6.15B (REVISED) – Received Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Past Year Serious Mental Illness and Geographic Characteristics: Percentages, 2008

Geographic Characteristic	Total1	Serious Mental Illness	No Serious Mental Illness
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Estimates in the Total column represent persons aged 18 or older, including those with unknown past year SMI information. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	13.5	58.7	11.4
GEOGRAPHIC REGION
Northeast	13.8	62.9	11.6
New England	16.4	67.0	14.4
Middle Atlantic	12.9	61.7	10.6
Midwest	14.3	57.1	12.1
East North Central	14.1	56.5	11.9
West North Central	14.7	58.8	12.7
South	12.6	58.1	10.7
South Atlantic	13.4	61.7	11.5
East South Central	11.7	*	9.9
West South Central	11.7	55.5	9.5
West	13.8	57.7	11.7
Mountain	15.1	58.6	12.9
Pacific	13.2	57.2	11.2
COUNTY TYPE
Large Metro	12.8	57.0	10.8
Small Metro	14.2	61.1	12.0
250K - 1 Mil. Pop.	14.3	65.9	11.8
< 250K Pop.	14.2	51.7	12.4
Nonmetro	14.2	59.2	12.0
Urbanized	15.5	61.8	13.1
Less Urbanized	13.7	57.7	11.6
Completely Rural	10.9	*	9.7

90429

Table 6.16A – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Numbers in Thousands, 2008

Demographic Characteristic	Received Mental Health Treatment/Counseling1	Inpatient	Outpatient	Prescription Medication
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	5,741	734	3,957	5,156
AGE
18-25	979	138	676	757
26-49	3,249	330	2,311	2,929
50 or Older	1,512	266	969	1,470
GENDER
Male	1,728	267	1,215	1,485
Female	4,013	467	2,742	3,672
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5,260	628	3,625	4,760
White	4,624	515	3,144	4,260
Black or African American	398	76	304	319
American Indian or Alaska Native	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	*	*	*	*
Two or More Races	*	*	*	*
Hispanic or Latino	481	*	332	397
EDUCATION
< High School	779	126	462	691
High School Graduate	1,777	202	1,136	1,611
Some College	1,844	235	1,333	1,647
College Graduate	1,341	171	1,026	1,208
CURRENT EMPLOYMENT
Full-Time	2,198	130	1,448	1,967
Part-Time	845	178	658	727
Unemployed	368	37	222	335
Other2	2,330	389	1,629	2,128

90429

Table 6.16B – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness, by Demographic Characteristics: Percentages, 2008

Demographic Characteristic	Received Mental Health Treatment/Counseling1	Inpatient	Outpatient	Prescription Medication
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
TOTAL	58.7	7.5	40.5	52.6
AGE
18-25	40.4	5.7	27.9	31.1
26-49	62.2	6.3	44.4	56.0
50 or Older	70.9	12.4	45.4	68.6
GENDER
Male	52.9	8.2	37.3	45.4
Female	61.6	7.1	42.1	56.2
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	61.4	7.3	42.4	55.5
White	64.6	7.2	43.9	59.4
Black or African American	44.8	8.7	34.7	35.9
American Indian or Alaska Native	*	*	*	*
Native Hawaiian or Other Pacific Islander	*	*	*	*
Asian	*	*	*	*
Two or More Races	*	*	*	*
Hispanic or Latino	39.4	*	27.2	32.5
EDUCATION
< High School	45.2	7.3	26.9	40.0
High School Graduate	57.9	6.6	37.0	52.5
Some College	58.9	7.5	42.8	52.4
College Graduate	72.1	9.1	54.8	64.7
CURRENT EMPLOYMENT
Full-Time	51.1	3.0	33.7	45.7
Part-Time	59.0	12.4	45.8	50.5
Unemployed	51.0	5.2	30.8	46.4
Other2	70.0	11.6	49.1	63.7

90429

Table 6.17A – Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2008

Type of Mental Health Treatment/Counseling1	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling or combination of types of treatments information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
RECEIVED ONLY ONE TREATMENT TYPE
Inpatient	33	13	10	*
Outpatient	501	200	269	*
Prescription Medication	1,663	255	904	504
RECEIVED TWO TREATMENT TYPES
Inpatient and Outpatient	48	7	41	*
Inpatient and Prescription Medication	58	32	6	*
Outpatient and Prescription Medication	2,818	387	1,729	702
RECEIVED ALL THREE TREATMENT TYPES
Inpatient, Outpatient, and Prescription Medication	590	82	272	*

90429

Table 6.17B – Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Mental Health Treatment in the Past Year, by Age Group: Percentages, 2008

Type of Mental Health Treatment/Counseling1	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling or combination of types of treatments information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
RECEIVED ONLY ONE TREATMENT TYPE
Inpatient	0.6	1.3	0.3	*
Outpatient	8.8	20.5	8.3	*
Prescription Medication	29.1	26.1	28.0	33.5
RECEIVED TWO TREATMENT TYPES
Inpatient and Outpatient	0.8	0.7	1.3	*
Inpatient and Prescription Medication	1.0	3.3	0.2	*
Outpatient and Prescription Medication	49.3	39.6	53.5	46.7
RECEIVED ALL THREE TREATMENT TYPES
Inpatient, Outpatient, and Prescription Medication	10.3	8.4	8.4	*

90429

Table 6.18A – Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2008

Location of Treatment/Counseling1	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. 2 Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. 3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Treatment/Counseling were excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
Outpatient Mental Health Clinic or Center	1,182	215	668	*
Office of a Private Therapist, Psychologist,   Psychiatrist, Social Worker, or Counselor - Not Part   of a Clinic	2,197	391	1,197	*
Doctor's Office - Not Part of a Clinic	807	104	555	*
Outpatient Medical Clinic	386	72	224	*
Partial Day Hospital or Day Treatment Program	143	41	81	*
School or University Setting/Clinic/Center2	33	27	7	*
Some Other Place3	65	10	15	*

90429

Table 6.18B – Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2008

Location of Treatment/Counseling1	Total	Aged 18-25	Aged 26-49	Aged 50+
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. 1 Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. 2 Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. 3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Treatment/Counseling were excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
Outpatient Mental Health Clinic or Center	30.3	31.9	29.0	*
Office of a Private Therapist, Psychologist,   Psychiatrist, Social Worker, or Counselor - Not Part   of a Clinic	56.3	58.0	51.9	*
Doctor's Office - Not Part of a Clinic	20.7	15.5	24.0	*
Outpatient Medical Clinic	9.9	10.7	9.7	*
Partial Day Hospital or Day Treatment Program	3.7	6.2	3.5	*
School or University Setting/Clinic/Center2	0.9	4.0	0.3	*
Some Other Place3	1.7	1.5	0.7	*

90429

Table 6.19A – Received Mental Health Treatment/Counseling and/or Illicit Drug or Alcohol Treatment at a Specialty Facility in the Past Year among Persons Aged 18 or Older with Serious Mental Illness and/or Illicit Drug or Alcohol Dependence or Abuse in the Past Year: Numbers in Thousands, 2008

Serious Mental Illness/Illicit Drug or Alcohol Dependence or Abuse1	Mental Health Treatment or Substance Use Treatment at a Specialty Facility2,3	Mental Health Treatment Only2	Substance Use Treatment at a Specialty Facility Only3	Mental Health Treatment and Substance Use Treatment at a Specialty Facility2,3
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 1 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Received Illicit Drug or Alcohol Treatment at a Specialty Facility refers to treatment received at a hospital (inpatient), rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop drug or alcohol use, or for medical problems associated with drug or alcohol use. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
EITHER SMI OR DEPENDENCE/ABUSE	9,560	8,041	674	834
SMI	5,867	5,335	123	405
SMI but not Dependence/Abuse	4,373	4,218	33	123
Dependence/Abuse	5,188	3,823	642	712
Dependence/Abuse but not SMI	3,693	2,705	551	429
Both SMI and Dependence/Abuse	1,494	1,117	90	283
NEITHER SMI NOR DEPENDENCE/ABUSE	21,605	20,981	475	145

90429

Table 6.19B – Received Mental Health Treatment/Counseling and/or Illicit Drug or Alcohol Treatment at a Specialty Facility in the Past Year among Persons Aged 18 or Older with Serious Mental Illness and/or Illicit Drug or Alcohol Dependence or Abuse in the Past Year: Percentages, 2008

Serious Mental Illness/Illicit Drug or Alcohol Dependence or Abuse1	Mental Health Treatment or Substance Use Treatment at a Specialty Facility2,3	Mental Health Treatment Only2	Substance Use Treatment at a Specialty Facility Only3	Mental Health Treatment and Substance Use Treatment at a Specialty Facility2,3
*Low precision; no estimate reported. NOTE: Serious Mental Illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder that met criteria in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and resulted in functional impairment that substantially interfered with or limited one or more major life activities. NSDUH respondents' SMI status is determined based on their responses to questions on distress (K6 scale) and impairment (World Health Organization Disability Assessment Schedule [WHODAS] for half the sample, and Sheehan Disability Scale [SDS] for the other half). Regression models, based on clinical interviews conducted on a subset (n = 1,502) of NSDUH respondents, specify the distress and impairment levels predictive of having SMI. For details, see Section B.4.6 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 1 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Received Illicit Drug or Alcohol Treatment at a Specialty Facility refers to treatment received at a hospital (inpatient), rehabilitation facility (inpatient or outpatient), or mental health center in order to reduce or stop drug or alcohol use, or for medical problems associated with drug or alcohol use. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2008.
EITHER SMI OR DEPENDENCE/ABUSE	34.6	29.1	2.4	3.0
SMI	60.0	54.5	1.3	4.1
SMI but not Dependence/Abuse	59.8	57.7	0.4	1.7
Dependence/Abuse	25.6	18.9	3.2	3.5
Dependence/Abuse but not SMI	20.7	15.2	3.1	2.4
Both SMI and Dependence/Abuse	60.5	45.2	3.7	11.4
NEITHER SMI NOR DEPENDENCE/ABUSE	11.0	10.7	0.2	0.1

90407

Table 6.20A – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Numbers in Thousands, 2007 and 2008

Demographic Characteristic	Received Mental Health Treatment/Counseling1		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING2
			Inpatient		Outpatient		Prescription Medication
	2007	2008	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 3 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	29,401	30,002	2,126	1,963	15,344	15,241	24,730	25,422
AGE
18-25	3,365	3,547	358	358	1,823	1,917	2,586	2,625
26-49	14,242	13,937	1,119a	757	7,941	7,837	11,715	11,614
50 or Older	11,794	12,518	650	847	5,581	5,487	10,429	11,184
GENDER
Male	9,836	10,053	1,066	776	5,049	5,395	8,000	8,166
Female	19,565	19,949	1,060	1,187	10,295	9,846	16,730	17,256
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	27,241	27,951	1,838	1,661	14,181	14,079	23,073	23,845
White	24,647	24,637	1,397	1,179	12,638	12,155	21,169	21,393
Black or African American	1,711a	2,230	309	407	1,045	1,402	1,280	1,597
American Indian or Alaska Native	128	124	18	6	43	74	112	89
Native Hawaiian or Other Pacific Islander	*	*	*	*	7	*	9	9
Asian	370	442	53	30	230	220	226	332
Two or More Races	359	464	44	10	219	181	278	424
Hispanic or Latino	2,160	2,051	288	302	1,164	1,162	1,657	1,577
EDUCATION
< High School	4,443	3,927	790	683	2,085	1,647	3,593	3,206
High School Graduate	8,482	8,613	665	553	3,918	3,820	7,405	7,485
Some College	7,777	8,098	457	414	4,011	4,190	6,772	7,060
College Graduate	8,698	9,363	214	313	5,331	5,584	6,960	7,671
CURRENT EMPLOYMENT
Full-Time	13,087	13,152	506	445	6,804	6,842	10,667	11,003
Part-Time	4,367	4,648	302	309	2,370	2,492	3,669	3,800
Unemployed	1,012	1,266	105	108	584	723	873	1,055
Other3	10,934	10,936	1,213	1,102	5,586	5,185	9,521	9,565

90407

Table 6.20B – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Demographic Characteristics: Percentages, 2007 and 2008

Demographic Characteristic	Received Mental Health Treatment/Counseling1		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING2
			Inpatient		Outpatient		Prescription Medication
	2007	2008	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 3 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	13.2	13.4	1.0	0.9	6.9	6.8	11.1	11.3
AGE
18-25	10.3	10.8	1.1	1.1	5.6	5.8	7.9	8.0
26-49	14.3	14.0	1.1a	0.8	8.0	7.9	11.7	11.6
50 or Older	13.2	13.6	0.7	0.9	6.2	6.0	11.6	12.2
GENDER
Male	9.2	9.3	1.0	0.7	4.7	5.0	7.5	7.5
Female	17.0	17.2	0.9	1.0	9.0	8.5	14.5	14.8
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	14.2	14.4	1.0	0.9	7.4	7.3	12.0	12.3
White	16.0	16.0	0.9	0.8	8.2	7.9	13.8	13.9
Black or African American	6.8a	8.7	1.2	1.6	4.1	5.5	5.1	6.2
American Indian or Alaska Native	11.6	13.2	1.6	0.6	3.9	7.8	10.1	9.5
Native Hawaiian or Other Pacific Islander	*	*	*	*	1.1	*	1.4	1.1
Asian	3.9	4.5	0.6	0.3	2.4	2.3	2.4	3.4
Two or More Races	15.6	18.8	1.9	0.4	9.5	7.2	12.1	17.1
Hispanic or Latino	7.3	6.8	1.0	1.0	3.9	3.8	5.6	5.2
EDUCATION
< High School	12.3	11.3	2.2	2.0	5.8	4.7	9.9	9.2
High School Graduate	12.5	12.3	1.0	0.8	5.8	5.5	10.9	10.7
Some College	13.6	14.2	0.8	0.7	7.0	7.3	11.8	12.4
College Graduate	14.4	15.0	0.4	0.5	8.8	9.0	11.5	12.3
CURRENT EMPLOYMENT
Full-Time	10.8	10.8	0.4	0.4	5.6	5.6	8.8	9.0
Part-Time	14.8	15.4	1.0	1.0	8.0	8.3	12.4	12.6
Unemployed	14.3	14.1	1.5	1.2	8.3	8.1	12.3	11.8
Other3	17.0	17.3	1.9	1.7	8.7	8.2	14.8	15.1

120411

Table 6.21A (REVISED) – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2007 and 2008

Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling1		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING2
			Inpatient		Outpatient		Prescription Medication
	2007	2008	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	29,556	30,201	2,145	1,970	15,433	15,327	24,864	25,598
GEOGRAPHIC REGION
Northeast	6,174	5,749	468	545	3,668	3,310	5,101	4,576
Midwest	6,738	7,046	383	483	3,397	3,329	5,771	6,104
South	10,394	10,285	831a	564	4,953	4,843	8,861	9,189
West	6,249	7,121	462	377	3,414	3,845	5,132	5,730
COUNTY TYPE
Large Metro	14,624	15,290	962	1,118	8,144	8,261	11,969	12,503
Small Metro	9,570	9,672	659	546	4,882	4,968	8,255	8,322
250K - 1 Mil. Pop.	6,154	6,412	363	370	3,143	3,328	5,298	5,514
< 250K Pop.	3,416	3,260	297	176	1,738	1,641	2,957	2,807
Nonmetro	5,361	5,239	523a	305	2,407	2,098	4,640	4,774
Urbanized	2,334	2,381	225	121	1,065	1,001	2,009	2,103
Less Urbanized	2,603	2,460	248	174	1,147	999	2,239	2,282
Completely Rural	425	397	50	10	195b	98	392	388
FAMILY INCOME
Less Than $20,000	6,970	6,134	1,064a	701	3,981a	3,198	5,704	5,197
$20,000 - $49,999	8,884	8,785	659	534	4,350	4,386	7,616	7,630
$50,000 - $74,999	5,226	5,748	181	247	2,628	2,802	4,495	5,022
$75,000 or More	8,476a	9,534	241	487	4,474	4,941	7,049	7,750
GOVERNMENT ASSISTANCE3
Yes	6,665	6,034	974b	629	3,660	3,250	5,730	5,291
No	22,891	24,167	1,170	1,341	11,773	12,077	19,134	20,308

120411

Table 6.21B (REVISED) – Specific Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older, by Geographic or Socioeconomic Characteristics: Percentages, 2007 and 2008

Geographic/Socioeconomic Characteristic	Received Mental Health Treatment/Counseling1		TYPE OF MENTAL HEALTH TREATMENT/COUNSELING2
			Inpatient		Outpatient		Prescription Medication
	2007	2008	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 2 Respondents could report receiving multiple types of mental health treatment/counseling; thus, these response categories are not mutually exclusive. 3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	13.3	13.5	1.0	0.9	7.0	6.8	11.2	11.4
GEOGRAPHIC REGION
Northeast	15.0	13.8	1.1	1.3	8.9	8.0	12.3	11.0
Midwest	13.7	14.3	0.8	1.0	6.9	6.8	11.7	12.4
South	12.9	12.6	1.0a	0.7	6.1	5.9	11.0	11.2
West	12.2	13.8	0.9	0.7	6.7	7.4	10.0	11.1
COUNTY TYPE
Large Metro	12.3	12.8	0.8	0.9	6.9	6.9	10.1	10.5
Small Metro	14.4	14.2	1.0	0.8	7.3	7.3	12.4	12.2
250K - 1 Mil. Pop.	13.8	14.3	0.8	0.8	7.1	7.4	11.9	12.3
< 250K Pop.	15.5	14.2	1.3	0.8	7.9	7.2	13.4	12.2
Nonmetro	14.6	14.2	1.4a	0.8	6.5	5.7	12.6	12.9
Urbanized	15.5	15.5	1.5	0.8	7.1	6.5	13.3	13.7
Less Urbanized	14.8	13.7	1.4	1.0	6.5	5.6	12.7	12.7
Completely Rural	10.2	10.9	1.2	0.3	4.7a	2.7	9.4	10.6
FAMILY INCOME
Less Than $20,000	17.2	16.2	2.6	1.8	9.8	8.4	14.0	13.7
$20,000 - $49,999	12.1	12.0	0.9	0.7	5.9	6.0	10.4	10.4
$50,000 - $74,999	12.9	13.8	0.4	0.6	6.5	6.7	11.1	12.1
$75,000 or More	12.6	13.3	0.4	0.7	6.6	6.9	10.5	10.8
GOVERNMENT ASSISTANCE3
Yes	20.8	19.5	3.0a	2.0	11.4	10.5	17.9	17.0
No	12.1	12.5	0.6	0.7	6.2	6.2	10.1	10.5

90407

Table 6.22A – Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older Who Received Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2007 and 2008

Type of Mental Health Treatment/Counseling1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling or combinations of types of treatment information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
RECEIVED ONLY ONE TREATMENT TYPE
Inpatient	556	469	99	92	249	134	209	242
Outpatient	3,907	3,907	626b	790	2,183	2,088	1,098	1,028
Prescription Medication	13,049	14,013	1,383	1,444	5,851	5,874	5,815	6,696
RECEIVED TWO TREATMENT TYPES
Inpatient and Outpatient	153	119	47	34	65	70	42	15
Inpatient and Prescription Medication	326a	164	47	82	127a	50	151a	32
Outpatient and Prescription Medication	10,207	10,028	987	948	5,043	5,145	4,177	3,935
RECEIVED ALL THREE TREATMENT TYPES
Inpatient, Outpatient, and Prescription Medication	1,049	1,156	159	144	641	503	248	509

90407

Table 6.22B – Types of Mental Health Treatment/Counseling Received in the Past Year among Persons Aged 18 or Older Who Received Mental Health Treatment in the Past Year, by Age Group: Percentages, 2007 and 2008

Type of Mental Health Treatment/Counseling1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling or combinations of types of treatment information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
RECEIVED ONLY ONE TREATMENT TYPE
Inpatient	1.9	1.6	3.0	2.6	1.8	1.0	1.8	1.9
Outpatient	13.4	13.1	18.7a	22.4	15.4	15.1	9.4	8.3
Prescription Medication	44.6	46.9	41.3	40.9	41.3	42.4	49.5	53.7
RECEIVED TWO TREATMENT TYPES
Inpatient and Outpatient	0.5	0.4	1.4	1.0	0.5	0.5	0.4	0.1
Inpatient and Prescription Medication	1.1a	0.5	1.4	2.3	0.9a	0.4	1.3a	0.3
Outpatient and Prescription Medication	34.9	33.6	29.5	26.8	35.6	37.1	35.6	31.6
RECEIVED ALL THREE TREATMENT TYPES
Inpatient, Outpatient, and Prescription Medication	3.6	3.9	4.8	4.1	4.5	3.6	2.1	4.1

90407

Table 6.23A – Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Numbers in Thousands, 2007 and 2008

Dependence/Abuse	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year dependence/abuse for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
DEPENDENCE OR ABUSE3
Illicit Drugs or Alcohol4	20,373	20,334	4,669	4,535	15,621	15,734
Illicit Drugs4	5,758	5,841	1,804	1,733	3,925	4,084
Alcohol	17,273	17,119	3,614	3,633	13,584	13,431
DEPENDENCE3
Illicit Drugs or Alcohol4	10,800	11,336	2,991	3,181	7,751	8,117
Illicit Drugs4	4,107	4,227	1,363	1,352	2,719	2,863
Alcohol	7,897	8,286	2,006	2,301	5,842	5,952

90407

Table 6.23B – Substance Dependence or Abuse in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment/Counseling: Percentages, 2007 and 2008

Dependence/Abuse	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year dependence/abuse for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). 4 Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, based on data from original questions not including methamphetamine items added in 2005 and 2006. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
DEPENDENCE OR ABUSE3
Illicit Drugs or Alcohol4	9.2	9.0	15.9	15.1	8.1	8.1
Illicit Drugs4	2.6	2.6	6.1	5.8	2.0	2.1
Alcohol	7.8	7.6	12.3	12.1	7.1	6.9
DEPENDENCE3
Illicit Drugs or Alcohol4	4.9	5.0	10.2	10.6	4.0	4.2
Illicit Drugs4	1.8	1.9	4.6	4.5	1.4	1.5
Alcohol	3.5	3.7	6.8	7.7	3.0	3.1

90407

Table 6.24A – Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2007 and 2008

Location of Treatment/Counseling1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. 2 Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. 3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Treatment/Counseling were excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
Outpatient Mental Health Clinic or Center	3,128	3,352	394	451	1,805	1,736	929	1,165
Office of a Private Therapist, Psychologist,   Psychiatrist, Social Worker, or Counselor - Not Part   of a Clinic	8,380	8,744	1,080	1,156	4,553	4,558	2,747	3,030
Doctor's Office - Not Part of a Clinic	3,281	2,992	278	241	1,547	1,557	1,456	1,194
Outpatient Medical Clinic	1,370	1,345	115	158	654	611	600	576
Partial Day Hospital or Day Treatment Program	348	234	42	62	159	139	148	32
School or University Setting/Clinic/Center2	65	98	54	69	11	22	*	7
Some Other Place3	326	248	31	31	106	91	189	125

90407

Table 6.24B – Location of Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2007 and 2008

Location of Treatment/Counseling1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple locations; thus, these response categories are not mutually exclusive. 2 Respondents were permitted to specify other locations for receiving outpatient mental health treatment/counseling. This location is one of the most commonly reported other locations for receiving outpatient treatment/counseling. 3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Treatment/Counseling were excluded. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
Outpatient Mental Health Clinic or Center	20.5	22.1	21.9	23.6	22.8	22.3	16.7	21.4
Office of a Private Therapist, Psychologist,   Psychiatrist, Social Worker, or Counselor - Not Part   of a Clinic	54.8	57.7	59.9	60.6	57.5	58.5	49.4	55.7
Doctor's Office - Not Part of a Clinic	21.5	19.8	15.4	12.6	19.5	20.0	26.2	22.0
Outpatient Medical Clinic	9.0	8.9	6.4	8.3	8.3	7.8	10.8	10.6
Partial Day Hospital or Day Treatment Program	2.3	1.5	2.3	3.3	2.0	1.8	2.7	0.6
School or University Setting/Clinic/Center2	0.4	0.7	3.0	3.6	0.1	0.3	*	0.1
Some Other Place3	2.1	1.6	1.7	1.6	1.3	1.2	3.4	2.3

90407

Table 6.25A – Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Numbers in Thousands, 2007 and 2008

Source of Payment1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
Self or Family Member Living in Household	5,507	5,527	686a	823	3,218	3,091	1,603	1,612
Family Member Not Living in Household	338	311	117	115	110	180	111	15
Private Health Insurance	6,222	6,019	577	593	3,239	3,299	2,406	2,127
Medicare	2,148	2,234	95	91	641	626	1,412	1,517
Medicaid	1,455	1,322	188	180	873	834	394	307
Rehabilitation Program	98	71	14	13	47	27	37	32
Employer	1,185	1,222	85	85	768	731	333	406
VA or Other Military Program	872	766	49	31	195	205	628	530
Other Public Source	528a	316	61	66	307	187	160	63
Other Private Source	169	214	42	24	77	75	49	116
Free Treatment	596	630	227	230	215	276	154	124

90407

Table 6.25B – Source of Payment for Outpatient Mental Health Treatment/Counseling among Persons Aged 18 or Older Who Received Outpatient Mental Health Treatment in the Past Year, by Age Group: Percentages, 2007 and 2008

Source of Payment1	Total (2007)	Total (2008)	Aged 18-25 (2007)	Aged 18-25 (2008)	Aged 26-49 (2007)	Aged 26-49 (2008)	Aged 50+ (2007)	Aged 50+ (2008)
*Low precision; no estimate reported. NOTE: Outpatient Mental Health Treatment/Counseling is defined as having received outpatient care for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple sources of payment; thus, these response categories are not mutually exclusive. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
Self or Family Member Living in Household	36.3	36.7	38.3a	43.5	40.9	39.9	29.0	29.7
Family Member Not Living in Household	2.2	2.1	6.5	6.1	1.4	2.3	2.0	0.3
Private Health Insurance	41.0	40.0	32.2	31.3	41.2	42.6	43.6	39.2
Medicare	14.2	14.8	5.3	4.8	8.2	8.1	25.6	27.9
Medicaid	9.6	8.8	10.5	9.5	11.1	10.8	7.1	5.7
Rehabilitation Program	0.6	0.5	0.8	0.7	0.6	0.3	0.7	0.6
Employer	7.8	8.1	4.7	4.5	9.8	9.4	6.0	7.5
VA or Other Military Program	5.7	5.1	2.7	1.6	2.5	2.6	11.4	9.8
Other Public Source	3.5a	2.1	3.4	3.5	3.9	2.4	2.9	1.2
Other Private Source	1.1	1.4	2.4	1.3	1.0	1.0	0.9	2.1
Free Treatment	3.9	4.2	12.7	12.1	2.7	3.6	2.8	2.3

90407

Table 6.26A – Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Demographic Characteristics: Numbers in Thousands, 2007 and 2008

Demographic Characteristic	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with unknown unmet need information were excluded. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	10,921	10,560	5,486	5,353	5,392	5,148
AGE
18-25	2,465	2,592	943	1,012	1,518	1,569
26-49	6,415	5,970	3,374	3,175	3,020	2,791
50 or Older	2,040	1,997	1,169	1,166	854	788
GENDER
Male	3,403	3,372	1,726	1,469	1,667	1,867
Female	7,518	7,188	3,760	3,884	3,725	3,281
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	9,711	9,559	5,033	4,943	4,637	4,560
White	8,184	8,006	4,403	4,241	3,748	3,712
Black or African American	1,054	1,183	419	523	624	659
Other or Two or More Races	474	370	210	178	264	189
Hispanic or Latino	1,209	1,001	453	410	755	588
EDUCATION
< High School	1,946b	1,384	1,063b	702	883	648
High School Graduate	2,875	2,881	1,515	1,565	1,344	1,309
Some College	3,273	3,576	1,576	1,845	1,692	1,718
College Graduate	2,828	2,719	1,331	1,240	1,474	1,473
CURRENT EMPLOYMENT
Full-Time	5,423	5,058	2,507	2,324	2,896	2,733
Part-Time	1,874	1,914	896	839	968	1,067
Unemployed	566	756	237	361	330	395
Other3	3,057	2,832	1,846	1,829	1,198	953

90407

Table 6.26B – Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment and Demographic Characteristics: Percentages, 2007 and 2008

Demographic Characteristic	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with unknown unmet need information were excluded. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 The Other Employment category includes retired persons, disabled persons, homemakers, students, or other persons not in the labor force. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	4.9	4.7	18.7	17.9	2.8	2.7
AGE
18-25	7.6	7.9	28.2	28.6	5.2	5.4
26-49	6.4	6.0	23.8	22.8	3.5	3.3
50 or Older	2.3	2.2	10.0	9.4	1.1	1.0
GENDER
Male	3.2	3.1	17.6	14.7	1.7	1.9
Female	6.5	6.2	19.3	19.5	3.9	3.4
HISPANIC ORIGIN AND RACE
Not Hispanic or Latino	5.0	4.9	18.5	17.8	2.8	2.7
White	5.3	5.2	17.9	17.3	2.9	2.9
Black or African American	4.2	4.6	24.5	23.9	2.6	2.8
Other or Two or More Races	3.5	2.6	23.9	16.4	2.1	1.5
Hispanic or Latino	4.1	3.3	21.8	20.0	2.8	2.1
EDUCATION
< High School	5.4b	4.0	24.4a	18.1	2.8	2.1
High School Graduate	4.2	4.1	17.9	18.3	2.3	2.1
Some College	5.7	6.3	20.3	22.8	3.4	3.5
College Graduate	4.7	4.4	15.3	13.3	2.8	2.8
CURRENT EMPLOYMENT
Full-Time	4.5	4.1	19.2	17.7	2.7	2.5
Part-Time	6.4	6.3	20.5	18.1	3.9	4.2
Unemployed	8.0	8.4	23.5	28.6	5.4	5.1
Other3	4.8	4.5	17.1	16.9	2.2	1.8

120411

Table 6.27A (REVISED) – Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment, and Geographic or Socioeconomic Characteristics: Numbers in Thousands, 2007 and 2008

Geographic/Socioeconomic Characteristic	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with unknown unmet need information were excluded. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	10,974	10,636	5,536	5,408	5,395	5,168
GEOGRAPHIC REGION
Northeast	1,871	1,885	970	940	895	937
Midwest	2,509	2,602	1,293	1,340	1,205	1,217
South	3,971	3,639	1,957	1,857	1,991	1,776
West	2,622	2,509	1,317	1,272	1,304	1,238
COUNTY TYPE
Large Metro	5,679	5,433	2,702	2,491	2,953	2,936
Small Metro	3,553	3,421	1,922	1,868	1,620	1,511
250K - 1 Mil. Pop.	2,336	2,383	1,157	1,313	1,170	1,032
< 250K Pop.	1,217	1,039	765	555	450	479
Nonmetro	1,742	1,781	912	1,050	822	721
Urbanized	787	765	440	439	347	326
Less Urbanized	768	892	389	546	370	336
Completely Rural	188	124	*	*	105	59
FAMILY INCOME
Less Than $20,000	2,912	2,974	1,669	1,579	1,224	1,355
$20,000 - $49,999	3,559	3,689	1,752	1,831	1,806	1,844
$50,000 - $74,999	1,932	1,672	998	895	934	778
$75,000 or More	2,571	2,301	1,118	1,104	1,431	1,191
GOVERNMENT ASSISTANCE3
Yes	2,936	2,691	1,711	1,581	1,215	1,077
No	8,038	7,944	3,825	3,828	4,180	4,091

120411

Table 6.27B (REVISED) – Unmet Need for Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older, by Receipt of Past Year Mental Health Treatment, and Geographic or Socioeconomic Characteristics: Percentages, 2007 and 2008

Geographic/Socioeconomic Characteristic	Total1		MENTAL HEALTH TREATMENT/COUNSELING2
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: This table was revised in May 2012 due to updates (for details, see the introduction to these 2008 detailed tables). NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. Respondents with unknown unmet need information were excluded. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Estimates in the Total column represent past year unmet need for all persons aged 18 or older, including those with unknown mental health treatment/counseling information. 2 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 3 Government Assistance is defined as one or more household family members having received Supplemental Security Income (SSI), cash assistance (Temporary Assistance for Needy Families, TANF), noncash assistance, or food stamps. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL	4.9	4.7	18.8	18.0	2.8	2.7
GEOGRAPHIC REGION
Northeast	4.5	4.5	15.7	16.5	2.6	2.6
Midwest	5.1	5.3	19.2	19.0	2.8	2.9
South	4.9	4.5	18.9	18.1	2.8	2.5
West	5.1	4.9	21.3	17.9	2.9	2.8
COUNTY TYPE
Large Metro	4.8	4.5	18.6	16.3	2.8	2.8
Small Metro	5.3	5.0	20.1	19.4	2.8	2.6
250K - 1 Mil. Pop.	5.3	5.3	18.8	20.6	3.1	2.7
< 250K Pop.	5.5	4.5	22.4	17.1	2.4	2.4
Nonmetro	4.7	4.8	17.2	20.1	2.6	2.3
Urbanized	5.2	5.0	18.9	18.6	2.7	2.5
Less Urbanized	4.4	5.0	15.2a	22.2	2.5	2.2
Completely Rural	4.5	3.4	*	*	2.8	1.8
FAMILY INCOME
Less Than $20,000	7.2	7.8	24.1	26.1	3.6	4.3
$20,000 - $49,999	4.9	5.0	19.9	20.9	2.8	2.9
$50,000 - $74,999	4.8	4.0	19.1	15.6	2.6	2.2
$75,000 or More	3.8	3.2	13.2	11.6	2.4	1.9
GOVERNMENT ASSISTANCE3
Yes	9.2	8.7	26.1	26.3	4.8	4.3
No	4.2	4.1	16.7	15.9	2.5	2.4

90407

Table 6.28A – Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Numbers in Thousands, 2007 and 2008

Reason Did Not Receive Treatment/Counseling1	Total2		MENTAL HEALTH TREATMENT/COUNSELING3
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. 2 Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. 3 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Treatment/Counseling were classified as not having received treatment for Some Other Reason. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL POPULATION	10,921	10,560	5,486	5,353	5,392	5,148
Could Not Afford Cost	4,860	4,734	2,537	2,498	2,312	2,189
Might Cause Neighbors/Community to   Have Negative Opinion	832	877	362	481	463	395
Might Have Negative Effect on Job	811	685	352	374	459	311
Health Insurance Does Not Cover Any   Mental Health Treatment/Counseling	699	769	294	398	404	370
Health Insurance Does Not Cover Enough   Mental Health Treatment/Counseling	1,293a	968	684	556	606a	412
Did Not Know Where to Go for Services	1,593	1,811	620	791	969	1,015
Concerned about Confidentiality	1,065	937	464	502	594	435
Fear of Being Committed/Have to Take   Medicine	1,070	1,048	703	552	357	491
Did Not Feel Need for Treatment	901b	616	381	280	515a	331
Could Handle the Problem Without   Treatment	2,801	2,454	1,219	982	1,571	1,466
Treatment Would Not Help	1,061a	765	564	394	496	371
Did Not Have Time	1,679	1,453	769	738	892	713
Did Not Want Others to Find Out	714a	525	287	237	421a	287
No Transportation/Inconvenient	282	350	185	220	97	130
Some Other Reason4	777	735	367	418	410	317

90407

Table 6.28B – Detailed Reasons for Not Receiving Mental Health Treatment/Counseling in the Past Year among Persons Aged 18 or Older with an Unmet Need for Mental Health Treatment in the Past Year, by Receipt of Past Year Mental Health Treatment: Percentages, 2007 and 2008

Reason Did Not Receive Treatment/Counseling1	Total2		MENTAL HEALTH TREATMENT/COUNSELING3
			Received		Not Received
	2007	2008	2007	2008	2007	2008
*Low precision; no estimate reported. NOTE: Unmet Need for Mental Health Treatment/Counseling is defined as a perceived need for treatment that was not received. a Difference between estimate and 2008 estimate is statistically significant at the 0.05 level. b Difference between estimate and 2008 estimate is statistically significant at the 0.01 level. 1 Respondents could indicate multiple reasons; thus, these response categories are not mutually exclusive. 2 Estimates in the Total column represent reasons for not receiving mental health treatment/counseling for all persons aged 18 or older with an unmet need for treatment, including those with unknown mental health treatment/counseling information. 3 Mental Health Treatment/Counseling is defined as having received inpatient care or outpatient care or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use. Respondents with unknown treatment/counseling information were excluded. Estimates were based only on responses to items in the Adult Mental Health Service Utilization module. 4 Respondents with unknown or invalid responses to the other-specify question on Some Other Reason for Not Receiving Mental Health Treatment/Counseling were classified as not having received treatment for Some Other Reason. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007 and 2008.
TOTAL POPULATION	100.0	100.0	100.0	100.0	100.0	100.0
Could Not Afford Cost	44.9	45.1	46.9	47.0	43.2	42.7
Might Cause Neighbors/Community to   Have Negative Opinion	7.7	8.3	6.7	9.1	8.7	7.7
Might Have Negative Effect on Job	7.5	6.5	6.5	7.0	8.6	6.1
Health Insurance Does Not Cover Any   Mental Health Treatment/Counseling	6.5	7.3	5.4	7.5	7.6	7.2
Health Insurance Does Not Cover Enough   Mental Health Treatment/Counseling	12.0a	9.2	12.6	10.5	11.3a	8.0
Did Not Know Where to Go for Services	14.7	17.2	11.4	14.9	18.1	19.8
Concerned about Confidentiality	9.8	8.9	8.6	9.5	11.1	8.5
Fear of Being Committed/Have to Take   Medicine	9.9	10.0	13.0	10.4	6.7	9.6
Did Not Feel Need for Treatment	8.3a	5.9	7.0	5.3	9.6a	6.4
Could Handle the Problem Without   Treatment	25.9	23.4	22.5	18.5	29.3	28.6
Treatment Would Not Help	9.8a	7.3	10.4	7.4	9.3	7.2
Did Not Have Time	15.5	13.8	14.2	13.9	16.7	13.9
Did Not Want Others to Find Out	6.6	5.0	5.3	4.5	7.9	5.6
No Transportation/Inconvenient	2.6	3.3	3.4	4.1	1.8	2.5
Some Other Reason4	7.2	7.0	6.8	7.9	7.7	6.2